Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most. And, so that we can bring wellness back to health care, one person at a time. 

Why Join Us?  Benefits you will love, Generous earned time package, Retirement plan with employer match, Tuition reimbursement and More!  

Under the guidance of the Accounts Receivable Manager, the Patient Accounts Specialist II is Responsible for timely submission of home health and hospice billing for multiple third party payers including, but not limited to, Medicare, Medicaid, commercial carriers and self pays.  Manages accounts receivables from admission through satisfaction of balance.

Essential Functions: 

• Generate monthly claims according to the month end close schedule
• Screen claims to confirm they are compliant with federal and insurance requirements and guidelines, make corrections as applicable 
• Manage and maintain accounts receivable in accordance with team standards and established policies and procedures, emphasis on timely follow up
• Prepare information on all claims over 90 days and report to manager as required
• Communicate with insurance companies as necessary to avoid delinquent accounts
• Submit adjustment and write off requests as they become known
• Coordinate with Intake, Coding and Authorization departments

Position Type/Expected Hours of Work & Travel 

This is a full-time position, and days and hours of work are Monday through Friday, 8:00 a.m. to 4:30 p.m. with some flexibility based on position. This is a hybrid position with 1 day in office, 4 days remotely after training period is complete.

• High school graduate or equivalent. Associates degree in business or related field a plus.
• Team Lead or Supervisor experience a plus.
• Current knowledge of rules and regulations governing third party payers and working knowledge of various billing tasks.
• Knowledge of computerized billing and A/R systems and various PC based programs (Excel, MS Word)

Tufts Medicine Care at Home is an equal opportunity employer.

AAP/EEO Statement

Tufts Medicine Care at Home is an Equal Opportunity Employer and dedicated to the goal of building a diverse and inclusive workplace that reflects the patient population in which we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable law. Care at Home is especially interested in candidates who, through their service, training and experience, will contribute to the diversity and excellence of our health care community.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.